REGISTRATION FORM

POST KEYNESIAN CONFERENCE, June 26-June 29, 2004

Deadline for Registration and Payment: May 15, 2004

PERSONAL INFORMATION

NAME:________________________________________________________________

TELEPHONE:___________________________________________________________

FAX:__________________________________________________________________

EMAIL:________________________________________________________________

CONFERENCE FEES (in US Dollars)
Registration (check one)
            _____Regular Rate:                                          $  75.00
            _____Student Rate:                                          $  35.00
            _____Late registration (after May 15)               $100.00
Conference Dinner                                                     $  40.00
Keynote speaker: Jan Kregel, UNCTAD
Conference Lunches ($10/each)                                 $  20.00
TOTAL                                                                        $______

Although dinner and lunch are optional, we highly recommend that you reserve lunch, since there are very few food vendors near the conference facilities.

CREDIT CARD INFORMATION

NAME_____________________________________________________________________

CARD TYPE:        MASTER CARD______       VISA______      DISCOVER CARD_______

CARD NUMBER__________________________________EXPIRATION DATE_________

SIGNATURE_______________________________________________________________

CHARGE (Please enter total from above): $________________________________________

Credit card payments can be faxed (sorry, we do not accept American Express).  Please do not forget to sign the form. We can accept payment by check only if it is in U.S. funds drawn on a U.S. bank. Please make check payable to University of Missouri-Kansas City and mail it to Pavlina Tcherneva at the address above.

MEAL PREFERENCE

____vegetarian (ovo-lacto)                      ____red meat
____fruits and vegetables only                  ____only fish and chicken (no mammals)      
____other please explain:_________________________________________________)

Send REGISTRATION to:

Pavlina R. Tcherneva
Tchernevap@umkc.edu

Center for Full Employment and Price Stability – UMKC
Economics Department; 211 Haag Hall
5100 Rockhill Road
Kansas City, MO 64110
Tel.: 816.235.5835
Fax: 816.235.6558 

HOTEL INFORMATION:

The Marriott Country Club Plaza Hotel offers a low conference rate of $84. Hotel and booking information can be found at: http://www.cfeps.org/events/pk2004/hotel.htm